| NPI | 1407109275 |
|---|---|
| Former Name | KASIE JEAN RUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3429) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MN 3429) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2023-07-18 |